AR surgery assistance

Grader A: partial

Augmedics xvision, the first FDA-cleared AR surgical headset (2019), did its first US case in 2020 and reached 5,000 then 10,000 spine cases by April 2025 across 26 states; a tiny share of the hundreds of thousands of annual US spine fusions. Real use below 5%.

Test: D37 health: share of relevant patients, providers or procedures using it by 2022 (hit >=5%; partial <5% real use by 2022 or 5% in 2023-2025; miss no real use by 2025); relevant: surgical procedures (e.g. spine fusion)

• First Augmented Reality Spine Surgery Using FDA-Cleared Augmedics xvision Spine System Completed in U.S. (2020-06-11): First US AR-guided spine surgery
• Augmedics completes 10,000th augmented reality spine surgery (2025-04): 10,000 cases cumulative by 2025

Grader B: partial

Augmedics xvision was FDA-cleared Dec 2019, first US case June 2020, and reached 10,000 cumulative procedures only in April 2025; other AR systems are similarly small. Real routine use in some hospitals, far below 5% of spine surgeries (well over a million a year in the US).

Test: D37 health: >=5% of relevant (e.g. spine, navigated) procedures use AR guidance by 2022 = hit; real use below 5% = partial; none by 2025 = miss.

• First Augmented Reality Spine Surgery Using FDA-Cleared Augmedics xvision Spine System Completed in U.S. (2020-06-11): First US AR spine surgery at Johns Hopkins after Dec 2019 FDA clearance.
• Augmedics Completes 10,000th Augmented Reality Spine Surgery With xvision Spine System (2025-04-22): Only 10,000 cumulative AR spine procedures by 2025: niche use.